Bowen's Disease

Bowen's Disease (BD) - Frequently Asked Questions

What is BD?

BD usually appears as a slow-growing red, scaly patch, which is confined to the outer layer of the skin.

What does it look like?

A typical BD lesion:

Please note, the appearance of BD can vary among individuals.

What are the symptoms?

There are few symptoms, although the surface can be abrasive and may rub against clothing.

Who is at risk?

Those individuals at risk are usually of fair skin, have a tendency to burn rather than tan.

Is it a skin cancer?

Yes, it is a slow-growing form of skin cancer. However, a small minority of patches can turn in to a type of skin cancer called squamous cell carcinoma. This change is usually signalled by the appearance of an ulcer, or a small bump, coming up on the original patch of BD. In general BD is slow growing.

Does it lead to any other illnesses?

Yes. It is important that BD is diagnosed and treated as soon as possible as it can lead to the development of a more aggressive skin cancer as mentioned above.

How is it diagnosed?

The medical history of the patient is checked to identify when the change in the skin occurred. There are a variety of diagnostic methods, however the biopsy is considered to be the gold standard of diagnosis.

What treatment options do I have available?

Photodynamic Therapy (PDT) - Metvix^®
Cryotherapy.
Surgical approaches
- Curettage
- Elliptical excision
- Excision and reconstructive surgery
- Mohs' micrographic surgery
Radiotherapy
Topical therapies
- 5- Fluorouracil

Your doctor can tell you the advantages and disadvantages of all the available treatments.

Can it be cured?

Yes, treatment is usually successful. Early detection is key.

What future precautions should I take?

Always avoid strong sunlight whenever possible.
Use a sun block with a SPF of at least 30.
Wear clothing that keeps your skin covered while out in the sun.
Examine your skin frequently and if there are any changes make an appointment with your dermatologist or doctor.